Radial Nerve Palsy Following Hemiarthroplasty of Hip: A Case Report Implying the Importance of Perioperative Patient Positioning
Journal Title: Journal of Karnataka Orthopaedic Association - Year 2019, Vol 0, Issue 0
Abstract
Introduction: OIntroduction: Peripheral nerve injury is a dreadfulpost operative complication which is a source of great distress to the patient and the surgeon. An upper limb neuropathy after a lower limb surgery is even worse and difficult to defend in medicolegal litigations as it is essentially avoidable. Radial Nerve Injury can happen due to mechanical compression between hard surgical table and proximal arm while the patient is in a lateral decubitus position. This report signifies the importance of patient positioning and prevention of pressure points peri operatively to reduce the risk of this mishap. Case Report: A 68 year old female who underwent hemiarthroplasty of the left hip complained of numbness and weakness of the right hand and inability to hold objects. The procedure was done in right lateral decubitus position and it lasted for about 45 minutes. The patient and treatment team had a tough time in the initial post operative period as she was unable to feed herself, hold on to objects and walk with the support of a quadrangular walker due to the weakness of right hand. Splint, rehabilitative exercises and galvanic current stimulation were employed for her treatment. Conclusion: Our case report stresses the importance of peri operative patient positioning and general awareness of potential complications that can happen which are preventable.
Authors and Affiliations
Nithin M Nithin M, Mani N J Mani N J, Shimna C S Shimna C S
Keywords
Related Articles
- EP ID EP574035
- DOI -
- Views 70
- Downloads 0
“Plagiarism in Research: What we need to know”
Dear Readers and KOA members, It gives me immense pleasure to inform the publication of the first issue of our KOA journal in 2018. This will be the first time that we will be able to publish two issues in one conference...
Distal Radioulnar Joint injuries: Surgical anatomy, physical examination, Imaging and principles of management
The complex anatomy of distal radioulnar can make diagnosis of this joint problems challenging. Disorders of the DRUJ are a major source of ulnar-sided wrist pain. Stabilization of this joint is provided by both intrinsi...
Treatment of distal humerus extra-articular fractures using a single 3.5mm precontoured locking compression plate
Background: Extra-articular distal humerus fractures are relatively rare,and optimal surgical fixation is a quandary for orthopedic surgeons. The introduction of the extra-articular distal humerus locking plates has prov...
Epidermoid Cyst in Tendon Achilles Following Percutaneous Tenotomy in Congenital Talipes Equinovarus: A Case Report
An unusual case of implantation dermoid cyst of the tendoachilles which was symptomatic . This report discusses the possibility of such implantation dermoid cysts after percutaneous procedures such as the percutaneous te...
Lets take JKOA Ahead Together
Dear KOA Members & Readers, Wishing you all a very Happy New Year. It gives me an immense pleasure to present the first issue of KOA Journal for the year 2019. I am also happy to inform that we had published two issues...